The Heart Health Center Cath Lab, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

LC0615102 Issued in MO

Legal business name

THE HEART HEALTH CENTER CATH LAB, LLC

Practice address

450 N New Ballas Rd
Ste 170W
Saint Louis, MO 63141-6835

Phone

(314) 993-6969

Fax

(314) 993-0792

NPI assigned

Aug 25, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Allen D Soffer, MD

Title

President

Phone

(314) 993-6969

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• The Heart Health Center Cath Lab Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia L Cole, MD

  • Cardiovascular Disease Physician
  • Saint Louis, MO
  • NPI 1821081712
  NPD (past)
• Clark R McKenzie, MD

  • Interventional Cardiology Physician
  • Saint Louis, MO
  • NPI 1073506051

  Cardiovascular Disease

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1124011010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD",
            "address_2": "STE 170W",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416835",
            "telephone_number": "314-993-6969",
            "fax_number": "314-993-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD",
            "address_2": "STE 170W",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416835",
            "telephone_number": "314-993-6969",
            "fax_number": "314-993-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART HEALTH CENTER CATH LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "SOFFER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-993-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "LC0615102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV PROVIDER NPI P",
            "identifier": "1144214297",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00275849",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV PROVIDER NPI MC",
            "identifier": "1073506051",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV PROVIDER NPI COLE",
            "identifier": "1821081712",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV PROVIDER NPI KOP",
            "identifier": "1831182807",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heart Health Center Cath Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Saint Louis, MO
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• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.